Doctor of Healing

"You're still lying! It's useless, why did the patient's ears change color! Fuck you... Fuck me..." Director Bao cursed in a low voice, and forced him severely.

But surrounded by the patient's family members, he still held back his temper.

"Xiaoji!" Professor Li, who led the group, saw Jixiang coming out, immediately recovered his spirits, and strode over.

"Professor Li." "I" seemed to have noticed something strange, and said with a humble bow.

"What did you give the patient? Is it all my doctor's order! You must have used the wrong medicine! Look at what you did!!" Professor Li, the leader, roared.

Ji Xiang was startled, and "myself" was also startled.

This is throwing the blame, unabashed throwing the blame!

Does Professor Li still have face?He really doesn't want even a little face.

"Go, go and have a look, and make it clear in front of Director Bao!" Professor Li, who led the team, grabbed Ji Xiang by the neck.

Like a dog, half-drag and half-drag "myself" to the doctor's office.

Director Bao didn't say anything to stop him, but watched the scene with a cold face, and followed to the office.

Leading the group, Professor Li turned on the computer, pointed to the ceftriaxone and azithromycin in the doctor's order, and said, "What is this?"

"Professor Li, the white blood cells in the patient's blood picture are high, antibiotics..."

"Who the hell told you to use it!" Professor Li, the lead group, finally grasped the handle and roared angrily.

His anger is so weak, Ji Xiang knows that he is acting, and Professor Li also knows that Ji Xiang knows that he is acting, but Professor Li behaves like Ji Xiang does not know that he is acting, performing an immersive performance.

Professor Li's expression was angry and innocent.

Ji Xiang really couldn't figure out why.

What does it mean to throw the pot away when there is something to solve?Besides, even if it's true that the little doctor under him gave the wrong doctor's order, it doesn't matter if he leads the professor?

Just as he was thinking, a wad of A4 paper fell on his face with a "snap".

"Please explain to me why ceftriaxone is used!" Professor Li, who led the team, roared angrily.

It seemed to wake up "myself" all of a sudden.

Clay figurines also have a three-point earthy temperament. When adults are bullied in this way, at least half of them will choose to fight back.

However, there was only a moment of anger, and then "I" faltered again.

Ji Xiang was very speechless. He thought that he seemed to throw the materials on the faces of Qin Chu and Ling Tian when he was learning.

Retribution came so fast.

"Director Bao, the little doctors nowadays are becoming more and more difficult to manage and disobedient." Professor Li, the leader of the team, said angrily, "I gave the patient's doctor's order behind my back, without my consent. It's all his. Wrong, it was him!!"

Director Bao sat on the chair and watched the scene coldly.

The dog face of Professor Li who led the group changed immediately, bowed his waist and smiled apologetically beside Director Bao, "I'll contact and check immediately, the others..."

With that said, Professor Li took a look at Ji Xiang.

Are you so unscrupulous?

So undisguised?

Ji Xiang didn't understand very much.

If he could speak, Ji Xiang would definitely pick up a chair and smash it on the head of Professor Li.

Let this shitty blame be thrown on my head!

But "I" is very cowardly and dare not fart.

Jixiang finally understood the psychology of those who were forced to jump off the building by their mentors.

In the past, Jixiang had no idea why.

Wouldn't it be nice to jump off a building with your mentor in your arms if you all have the ambition to die?He also wrote a suicide note saying that he would not let his mentor go even if he was a ghost, so you should do something while you are alive.

The current "self" is in such a mess that he doesn't dare to resist at all. He looks at the ground helplessly, tears streaming down his face.

"Your group's affairs can be handled by yourself." Director Bao said coldly, "I made an appointment for an emergency checkup, so we can understand the situation before we talk about it."

"Yes Yes Yes."

The waist of Professor Li with the group is constantly moving up and down as if a spring is installed.

Changing his face made him understand, a dog's face can be turned faster than a book.

Subsequent abdominal CT scans confirmed a 7-cm filling defect in the abdominal aorta inferior to the left renal artery and marked occlusion of the right renal artery.

Extensive collateral circulation in the distal abdominal aorta, thoracic, pelvic, and femoral vessels suggested chronic disease.

In addition, Professor Li led the group to inquire again in detail, and the patient had symptoms of lower limb claudication in the past.

In addition, the patient's renin levels rose to 116 mU/L during this time, consistent with renovascular hypertension.

clogged arteries...

At this time, Ji Xiang "guessed" that the patient's ear turning blue might have something to do with ischemia.

In fact, it's easy to guess, but the patient's blue ears are too eye-catching, so that in reality, Lu Gang, an expert in rheumatology and immunology, didn't think of it at the first time.

Chapter 243 Unscrupulous PUA

However, simple ischemia does not seem to be able to perfectly explain why only the ears turn blue, while other peripheral blood supply does not change much.

However, the entanglements and difficulties in medical diagnosis cannot keep up with the suppression in reality.

After Professor Li, who led the team, found out that his initial diagnosis was wrong, he became even more frantic and blamed Ji Xiang.

He was completely shameless, and dealt with the problem in an unimaginable way, as if Jixiang jumped into a well with his child in his arms.

It's hard for Ji Xiang to believe that there are people in this world who are so shameless.

Perhaps this is the multifaceted nature of human beings?

In the third hospital-wide consultation, not only the directors and professors of relevant departments, but also a family member of the patient sat in it.

"I" stood in the corner, trembling.

The people in each department explained their opinions, and Ji Xiang heard that none of them had a prepared diagnosis, and they all talked in unison, meaning that it had nothing to do with me, so don't rely on me.

Hospitals are in some ways like workplaces.

Professor Li, who led the group, was helpless, after all, the patient was received by the doctor of his own group.

He finally spoke, "I did make mistakes in the patient's diagnosis and treatment, and I didn't take good care of my doctor."

As he said that, Professor Li, who led the group, gave Ji Xiang a vicious "gouged out" look.

"The harm caused by wrong diagnosis and treatment to patients...I am..."

Professor Li, who led the group, kept apologizing.

Ji Xiang sighed deeply. Could this be the legend that he wiped shit on his face?

Not only has the responsibility not been completely shirked, but it has become more and more black and stinky.

This kind of weird thing can't be done in less than 30 years with cerebral thrombosis.

"Dong dong dong~" Director Bao knocked on the table, "Tell me about your diagnosis."

"I initially diagnosed the patient as large vessel vasculitis and relapsing polychondritis, based on..."

Professor Li, who led the group, regained a little confidence and began to speak eloquently.

In his opinion, the patient had a history of lameness, and the diagnosis has been basically confirmed.The diagnosis of large vessel vasculitis and relapsing polychondritis is not something that ordinary people can give, and Professor Li is a little proud.

Subsequently, the patient was started on azathioprine and methylprednisolone pulse therapy.

Professor Li, who leads the group, is also a bit skilled. One day after the azathioprine and methylprednisolone pulse treatment, the blue color of the patient's ears changed, gradually became lighter, and became better visible to the naked eye.

Although "myself" is very depressed, dare not go home, sleeps in the hospital every day, and spends most of the time sitting in front of the computer in the office in a daze, crying, almost depressed, but Ji Xiang cares more about the patient's well-being. diagnosis.

Large vessel vasculitis and relapsing polychondritis, the name of the disease is a disease of rheumatology and immunology.

It was so!

However, knowing the diagnosis of large vessel vasculitis and relapsing polychondritis, empathy has not ended.

Ji Xiang was also a little surprised. During several ward rounds, "I" observed that the color of the patient's ears did gradually return to normal. It is obvious that Professor Li's medication is symptomatic.

Why not let yourself go back?

Could it be that this empathy is not only about feeling the disease and diagnosis, but also feeling the malicious PUA yourself.

"You're a doctor too!"

"Bitch!"

"Pneumonia, your mother's pneumonia, is that pneumonia! Look at how you treat the patients!"

Professor Li, who led the group, kept swearing in "my" ears, and the language of the swearing became more and more unbearable.

Ji Xiang didn't understand why "I" could accept it, or why he didn't refute Professor Li who led the group.

His words are not worth refuting at all, and Ji Xiang clearly saw that the PUA became more and more serious after leading Professor Li to test a little bit from the beginning to the present, and he was sure that "he" would not dare to resist.

Alas, the poor man must have something to hate. Although he knew the correct diagnosis, Ji Xiang was not happy at all.

Another day, "I" sat in the office in a daze, constantly refreshing the page of the inspection results.

As the blue color of the patient's ears changed, Professor Li, who led the group, had confirmed that the medicine he gave was suitable for the disease, so he abused and insulted "self" even more unscrupulously.

"I" didn't know what to do, so I could only refresh the page of the laboratory test aimlessly, expressing that I was working "hard".

suddenly

page refresh

"I" subconsciously click to check the results

A series of shocking numbers appeared in front of my eyes.

The patient developed acute kidney injury, and his creatinine increased from 72umol/L on admission to 124umol/L.

Acute Kidney Injury!

"I" picked up the phone subconsciously, but Professor Li's cursed voice appeared in my ears, getting louder and louder, the voice pierced the eardrum, and "I" felt headaches.

But in the end, I made a phone call to Professor Li who led the group to report the test results.

Professor Li on the other side of the phone was silent for a full minute before making a sharp voice—impossible!You must have moved your hands and feet! !

Ji Xiang was completely speechless.

Professor Li, who leads the group, must be sick. When a problem arises, he doesn't think about solving it immediately. His subconscious move is to throw the blame away!

There is such a person!

However, Ji Xiang woke up instantly, and it is not known whether the diagnosis of large vessel vasculitis and relapsing polychondritis was wrong.

If you receive azathioprine and methylprednisolone pulse therapy, there may also be complications of acute renal injury.

Ji Xiang knows that this matter is not over yet, no wonder the empathy never ends.

Professor Li, who led the group, came in a hurry. He guessed that he had done psychological training along the way.

I didn't even mention the ridiculous thing - you moved your hands and feet.

"Side injury after medication, do you have any clinical common sense, just call me?"

"I really don't know what you learned when you were in school, did you learn everything the teacher taught into the dog's stomach!"

"Stupid, bitch!"

The meaningless abuse continued, and "I" lowered my head and endured it.

Ji Xiang looked at Professor Li helplessly, his face came closer, and it was really easy to slap him.

It's a pity that "I" is a coward.

Professor Li adjusted the medication, but the patient's renal function did not recover, and the renal function continued to deteriorate. The creatinine increased to 328umol/L, and anuria and urinary retention progressed on the 10th day.

Renal vascular ultrasonography was performed again, and the results showed that the aortic obstruction may extend to the celiac axis, and there was no blood flow in the renal vessels, resulting in deterioration of renal function.

What is the situation of this sudden acute renal injury?

Everyone was stunned.